• ESTACADA RURAL FIRE DISTRICT 69

    Proudly serving Estacada and surrounding communities
  • VOLUNTEER MEMBERSHIP APPLICATION

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  • ESTACADA RURAL FIRE DISTRICT 69 VOLUNTEER MEMBERSHIP APPLICATION

    P.O. BOX 1385 ESTACADA, OREGON 97023 
  • Estacada Rural Fire District No. 69 makes its volunteer recruitment decisions without regard to race, color, sex, national origin, religion, marital status, age, prior industrial injury, or mental or physical handicaps unrelated to job performance.

    It is the District’s policy to comply with the provisions of the Immigration Reform and Control Act of 1986 and to recruit only authorized volunteers. If you are hired, you will be asked to provide verification of your eligibility. The types of verification required may change from time to time as federal regulations are promulgated or amended. Your volunteer services will not be continued if you are unable to or are unwilling to provide the verification requested by the District.

    Estacada Rural Fire District No. 69’s pre-entry and physical agility examination has been developed due to the complexity and changes of the Fire Service as we know it today. In addition, there are many mandated certification and skill levels that the Fire District must assure that all members attain. Many of these mandates or standards are established by Federal and State laws, Accident Prevention Division, OSHA, National Fire Protection Association, and the Oregon State Fire Marshal's Office.

    This pre-entry test and physical agility test will assist the Fire District in assessing your success in the numerous certification and task levels you will be expected to achieve as a Volunteer member of the Estacada Rural Fire District.

    This application will be considered only for the specific job applied for. If you desire to be considered for a position at a future time, you must file a new application.

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  • Motivation

  • In an effort to assist us in understanding your motivation to be a volunteer for Estacada Rural Fire District No. 69, please answer the following questions: (Check all that apply)

  • Previous Work Experience

  • Please list all employment and any periods of unemployment for the last 10 years, beginning with the most recent employment.

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  • Background Investigation

    (Required by OAR 259-008-0015)
  • Criminal History and Arrests

  • Education Verification

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  • Military History Verification

  • References

  • List three persons other than relatives or previous employers who have known you longer than one year. Do not include any person who lives in your household.

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  • Volunteer Declaration

  • I, by signing this document do declare that if I am selected as a volunteer member of the Estacada Rural Fire District No. 69 I do so as a service to the community and do not expect compensation for service rendered.

  • Authorization

  • In submitting this application, I authorize the investigation of all statements contained in it, and it is understood and agreed that any misrepresentation by me in this application (or attached resume, if any) may result in cancellation of the application and/or separation from the District’s service. I affirm that all information in this application is truthful. I agree that I will undergo a physical examination at the District’s expense if requested by the District, and that a physical examination may include a drug screen. I agree that if I do not maintain active volunteer membership for the first year, I may be responsible for any costs associated with testing, physical examinations, background checks, training, and administrative fees.

    In consideration of any volunteer position, I agree to conform to the rules and regulations of the District. My volunteer position can be terminated, with or without cause, and with or without notice, at any time, at the option of either the District or myself. I understand that no representative of the District except the fire chief or the board of directors has the authority to enter into any agreement for any specified time or to make any agreement contrary to the foregoing. I certify I have read all of this application and the information I have provided above is true and correct.

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